Electric pulp test effective for assessing pulpal sensitivity in irreversible pulpitis

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-02-15T20:00:29+05:30 | Updated On 16 Feb 2023 5:19 PM IST

Electric pulp test effective for assessing pulpal sensitivity in irreversible pulpitis suggests a new study published in the Journal of Endodontics

Accurate diagnosis is one of the most important steps before endodontic treatment. The aim of this study was to assess the effect of two commonly used analgesics namely ibuprofen and acetaminophen on the cold and electric pulp test (EPT) results in participants with symptomatic irreversible pulpitis (SIP).

This clinical trial evaluated 41 participants with pain due to SIP. The cold test and EPT were performed for teeth with SIP, and also for the corresponding tooth with healthy pulp in the contralateral quadrant. The participants then received 500 mg acetaminophen, 400 mg ibuprofen, or the placebo in the three groups. The cold test and EPT were repeated at 20, 40, and 60 minutes after medication intake, and the results were compared with the pre-treatment values.

Results

In the acetaminophen group, the results of cold test significantly decreased 40 (P<0.05), and 60 (P<0.05) minutes after analgesic intake in teeth with SIP and after 40 minutes (P<0.05) in the corresponding contralateral teeth with healthy pulp.

In the ibuprofen group, the cold test results significantly decreased at 20 (P<0.05), 40 (P<0.05), and 60 (P<0.05) minutes after analgesic intake in teeth with SIP and after 40 minutes (P<0.05) in the corresponding contralateral teeth with healthy pulp.

The EPT results were not significantly affected by the studied analgesics at any time point (P>0.05). There was no significant difference among the study groups regarding sex (P>0.05).

It appears that both acetaminophen and ibuprofen can affect the pulpal response to the cold sensibility test. However, the studied medications had no significant effect on the EPT results. Therefore, dental clinicians should be aware of the possible effects of such medications on the cold test response.

Reference:

Aidin Soooratgar, Negin Khavanin,Fatemeh Dibaji, Yasin Asadi, Mohammadjavad Kharazifard. Evaluation of the Effect of Common Analgesics on Pulpal Sensibility Tests: A Clinical Trial. Published:January 16, 2023DOI:https://doi.org/10.1016/j.joen.2023.01.003

Keywords:

Journal of Endodontics, Aidin Soooratgar, Negin Khavanin,Fatemeh Dibaji, Yasin Asadi, Mohammad-Javad Kharazifard, Evaluation, Effect, Common, Analgesics, Pulpal, Sensibility, Tests, Clinical Trial

Electric pulp testpulpal sensitivityirreversible pulpitisJournal of Endodontics

Source : Journal of Endodontics

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751